Azathioprine flashcard sets

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azathioprine definitions
# Definition Sets
1imuran14 sets
2immunosuppressant3 sets
3prodrug activated by enzymes to 6-thiol-mp blocking purine synthesis pathway suppressing b&t cells; used for autoimmune disorders (hemolytic anemia) and kidney transplantation **shouldn't be used with allopurinol (blocks breakdown of drug by inhibiting xanthine oxidase)2 sets
4asazan2 sets
5immunomodulators, purine analog2 sets
6a pro-drug –metabolised to give 6-mercaptopurine (antimetabolite)that inhibits dna synthesis –suppresses cell-mediated and antibody-mediated immune reactions lymphocytes are predominantly affected by azathioprine cytotoxic effect side effects: bone marrow suppression nausea and vomiting1 set
7bone marrow suppression. careful when using xanthine oxidase1 set
8prodrug of 6-mercaptopurine/ immunosuppresive agent/antimetabolite of the de novo purine nucleotide biosynthesis/ "mixed" carrier-linked/bioprecursor prodrug - enzymatically activated1 set
9cytotoxic drug affecting t-cells more than bmoa- s-phase inhibitor: converted to thioinosinic acid (competitive inhibitor)uses: organ transplants, rheumatoid artheritistoxicity: myelosuppression, gi, hepato, severe infection, mutagenesis and cancer (skin)drug interactions: allopurinol may increase toxicity1 set
10maintenance1 set
11imuran,, antimetabolite precursor of 6-mercaptopurine that interferes witht he metabolism and synthesis of nucleic acids. toxic to proliferating lymphocytes. used for kindney transplantation, autoimmune disorders (including glomerulonephritis and hemolytic anemia). toxicity: bone marrow suppression. active metabolite mercaptopurine is metabolized by xanthine oxidase; thus, toxic effects may be increased by allopurinol.1 set
121) inhibits both dna and rna synthesis(suppresses de novo purine synthesis. 2) it has effects on both b and t lymphocytes. 3) anti-inflammatory effect1 set
13incorporated into dna inhibiting further dna synthesis1 set
14dmards - cytotoxic - antimetabolites: purine antmetabolite, derivative of 6- mercaptopurine, inhibit de novo purine synthesis1 set
15metabolized to 6-mercaptopurine. suppresses rejection during organ transplantation.1 set
16used in combination with corticosteroids for immunosuppression. converted to a competative inhibitor if inosinic acid (precursor to a and g); therefore, it blocks the cell cycle in the s phase. coadministration of allopurinol can increase toxicity effects (in the gi, bone marrow, and liver).1 set
17imuran; asazan1 set
18antimetabolites1 set
19what immunosuppressive agent is converted to 6-mercaptopurine? imuran, prodrug activated by enzymes to 6-thiol-mp blocking purine synthesis pathway suppressing b&t cells; used for autoimmune disorders (hemolytic anemia) and kidney transplantation **shouldn't be used with allopurinol (blocks breakdown of drug by inhibiting xanthine oxidase)1 set
20antiproliferative agents1 set
21what immunosuppressive agent is converted to 6-mercaptopurine?1 set
22antimetabolite that is converted to 6-mp, inhibiting de-novo purine synthesis1 set
23leads to suppression of b and t cells, ig production and il-2 secretion1 set
24metabolized to 6-mercaptopurine which suppresses immune rejection used during organ transplantation1 set
25immunomodulators; purine analog1 set
26this drug is activated by hgprt, and broken down by xanthine oxidase1 set
27metabolized into 6-mercaptopurine, suppresses inosinic acid synthesis and b,t-cell function1 set
28antimetabolite precursor of 6-mercaptopurine that interferes witht he metabolism and synthesis of nucleic acids. toxic to proliferating lymphocytes. used for kindney transplantation, autoimmune disorders (including glomerulonephritis and hemolytic anemia). toxicity: bone marrow suppression. active metabolite mercaptopurine is metabolized by xanthine oxidase; thus, toxic effects may be increased by allopurinol.1 set